Individual
MRS. TABITHA R DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7905 N MEADOWLARK WAY STE E, COEUR D ALENE, ID 83815-5041
(208) 772-3116
Mailing address
721 E BEST AVE APT 4, COEUR D ALENE, ID 83814-4853
(208) 641-9331
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-38703
ID
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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